Organization
HALF DENTAL UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY S ANDERSON (OFFICE MANAGER)
(801) 852-5252
Entity
Organization
Contact information
Practice address
2274 N 400 E, STE 202, NORTH OGDEN, UT 84414-7378
(801) 852-5252
(801) 855-7152
Mailing address
2274 N 400 E, STE 202, NORTH OGDEN, UT 84414-7378
(801) 852-5252
(801) 855-7152
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7403598-9922
UT
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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